Tract-specific white matter hyperintensities disrupt neural network function in Alzheimer’s disease

Authors Organisations
  • Alexander Taylor(Author)
    Ludwig Maximilian University of Munich
  • Lana Kambeitz-Ilankovic(Author)
    Ludwig Maximilian University of Munich
  • Benno Gesierich(Author)
    Ludwig Maximilian University of Munich
  • Lee Simon-Vermot(Author)
    Ludwig Maximilian University of Munich
  • Nicolai Franzmeier(Author)
    Ludwig Maximilian University of Munich
  • Miguel A. Araque Caballero(Author)
    Ludwig Maximilian University of Munich
  • Sophia Meuller(Author)
    Ludwig Maximilian University of Munich
  • Liu Hesheng(Author)
    Harvard Medical School (HMS)
  • Birgit Ertl-Wagner(Author)
    Ludwig Maximilian University of Munich
  • Katharina Beurger(Author)
    Ludwig Maximilian University of Munich
  • Michael Weiner(Author)
    University of California, San Francisco
    VA Medical Center, California
  • Martin Dichgans(Author)
    Munich Cluster for Systems Neurology (SyNergy)
    Ludwig Maximilian University of Munich
  • Marco Duering(Author)
    Ludwig Maximilian University of Munich
  • Michael Ewers(Author)
    Ludwig Maximilian University of Munich
Type Article
Original languageEnglish
Pages (from-to)225-235
Number of pages11
JournalAlzheimer's & Dementia
Volume13
Issue number3
Early online date15 Jul 2016
DOI
Publication statusPublished - 31 Mar 2017
Externally publishedYes
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Abstract

INTRODUCTION: White matter hyperintensities (WMH) increase the risk of Alzheimer’s disease (AD). Whether WMH are associated with the decline of functional neural networks, in AD is debated.

METHOD: Resting state functional magnetic resonance imaging and WMH were assessed in 78 subjects with increased amyloid AV-45 positron emission tomography (PET) in different clinical stages of AD. We tested the association between WMH volume in major atlas-based fiber tract ROIs and changes in functional connectivity (FC) between the tracts’ projection areas within the default mode network (DMN).

RESULTS: WMH volume within the inferior fronto-occipital fasciculus (IFOF) was the highest among all tract ROIs and associated with reduced FC in IFOF-connected DMN areas, independently of global AV-45 PET. Higher AV-45 PET contributed to reduced FC in IFOF-connected and parietal areas of the DMN.

CONCLUSIONS: WMH in fiber tract ROIs with high WMH burden cause reduced FC, thus adding to the effects of amyloid pathology on neuronal network function.

Keywords

  • Alzheimer's disease, Functional connectivity, Fibre tract, resting-state fMRI, White matter hyperintensities, vascular, amyloid-beta